A nurse is assisting a client to develop a plan to increase daily exercise. Which of the following interventions should the nurse include in the plan to elicit accountability?
The client will exercise for 30 min each day.
The client provides a list of exercises that they are interested in.
The client will exercise daily for the next 2 weeks.
The client will share their exercise log with an identified support person.
The Correct Answer is D
D. This promotes accountability by involving an identified support person in the client's exercise plan. Sharing the exercise log with a support person creates a sense of responsibility and encouragement for the client to adhere to their exercise regimen. Knowing that someone else will review their progress can motivate the client to stay committed to their goals and maintain consistency in their exercise routine.
A. Setting a specific duration for daily exercise is a good goal-setting strategy. However, it does not inherently provide a mechanism for accountability. The client may not feel as motivated to adhere to the exercise plan consistently.
B. This option involves client engagement and preference, which is important for promoting adherence to an exercise routine. However, it does not directly address accountability.
C. Setting a specific timeframe for daily exercise is another goal-setting strategy, but without mechanisms for accountability, the client may struggle to maintain consistency.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is B
Explanation
Stage 3 alcohol withdrawal, also known as delirium tremens (DTs), is characterized by severe manifestations, including hallucinations (such as seeing spiders crawling on the walls), disorientation, agitation, and potentially life-threatening physiological disturbances. The client's
belief that they are at home and calling for their mother indicates significant confusion and disorientation, which are common features of delirium tremens.
Correct Answer is A
Explanation
A. Dissociative amnesia involves difficulty remembering important personal information, usually of a traumatic or stressful nature, that is inconsistent with ordinary forgetting. In the case of a client who has been sexually assaulted and is having difficulty remembering events related to the assault, dissociative amnesia is the likely experience.
B. Depersonalization/derealization disorder involves persistent feelings of detachment from oneself or one's surroundings. While this condition can occur in response to trauma, it typically involves a sense of detachment rather than memory loss.
C. Dissociative identity disorder (DID) involves the presence of two or more distinct personality states, each with its own pattern of perceiving and interacting with the world.
D. Factitious disorder involves the deliberate falsification or exaggeration of physical or psychological symptoms in oneself. It is not directly related to memory loss or difficulty remembering events.
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